[Acute perioperative disturbances of renal function. Strategies for prevention and therapy]

(Akute perioperative Störungen der Nierenfunktion: Strategien zur Prävention und Therapie.)

Full Abstract

The increasing life expectancy in industrial nations leads to an increase in the number of elderly and aged persons treated in hospital. Increasingly more complex operations are being carried out on this group of patients. Renal dysfunction in the preoperative situation increases morbidity and mortality. Acute kidney injury (AKI) is nearly always part of a multi-organ dysfunction syndrome in critically ill patients. The treatment strategy of the AKI should be oriented to the degree of organ dysfunction. However, the stage of organ dysfunction is mostly unknown so that the therapeutically exploitable interval is often missed. The same therapy is practically always used for all patients: administration of fluids and diuretics often under the premise of "the kidneys must be rinsed". A unified classification of the continuation of kidney function disorders using the RIFLE criteria (risk, injury, failure, loss, endstage kidney disease) can assist recognition of early stages of kidney failure in order to react correspondingly with therapeutic measures and to critically question or optimize the use of conservative treatment strategies.

Author information

Author/s: Jaschinski, U (U); Lichtwarck-Aschoff, M (M);

Affiliation: Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg, Augsburg. ulrich.jaschinski(-atsign-)klinikum-augsburg.de

Journal and publication information

Publication Type: English Abstract; Journal Article; Review

Journal: Der Anaesthesist (Anaesthesist), published in Germany. (Language: ger)

Reference: 2009-Aug; vol 58 (issue 8) : pp 829-47; quiz 848-9

Dates: Created 2009/08/20; Completed 2009/11/02;

PMID: 19669104, status: MEDLINE (last retrieved date: 11/2/2009)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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